Combined Treatment of Ruptured Aneurysm Accompanied by Intraventricular Hemorrhage; Neuroendoscopy and Coiling: Case Report

Abstract

Subarachnoid hemorrhages with intraventricular hemorrhage (IVH) have been treated with aneurysmal clipping and ventricular drainage. We present a combined treatment with coiling and endoscopy: coiling of the ruptured distal anterior cerebral artery aneurysm and neuroendoscopic removal of IVH.

intraventricular hemorrhage - subarachnoid hemorrhage - neuroendoscope - hydrocephalus - coiling

References

• 1 Shimoda M, Oda S, Shibata M. et al . Results of early surgical evacuation of packed intraventricular hemorrhage from aneurysm rupture in patients with poor-grade subarachnoid hemorrhage.  J Neurosurg. 1999;  91 408-414
• 2 Nakagawa T, Suga S, Mayanagi K. et al . Predicting the overall management outcome in patients with a subarachnoid hemorrhage accompanied by a massive intracerebral or full-packed intraventricular hemorrhage: a 15-year retrospective study.  Surg Neurol. 2005;  63 329-334 , discussion 334–325
• 3 Nieuwkamp DJ, Gans K de, Rinkel GJ. et al . Treatment and outcome of severe intraventricular extension in patients with subarachnoid or intracerebral hemorrhage: a systematic review of the literature.  J Neurol. 2000;  247 117-121
• 4 Naff NJ, Hanley DF, Keyl PM. et al . Intraventricular thrombolysis speeds blood clot resolution: results of a pilot, prospective, randomized, double-blind, controlled trial.  Neurosurgery. 2004;  54 577-583 , discussion 583–574
• 5 Hall B, Parker Jr D, Carhuapoma JR. Thrombolysis for intraventricular hemorrhage after endovascular aneurysmal coiling.  Neurocrit Care. 2005;  3 153-156
• 6 Nishikawa T, Takehira N, Matsumoto A. et al . Delayed endoscopic intraventricular hemorrhage (IVH) removal and endoscopic third ventriculostomy may not prevent consecutive communicating hydrocephalus if IVH removal was insufficient.  Minim Invas Neurosurg. 2007;  50 209-211
• 7 Holtzman RN, Brust JC, Ainyette IG. et al . Acute ventricular hemorrhage in adults with hydrocephalus managed by corpus callosotomy and fenestration of the septum pellucidum. Report of three cases.  J Neurosurg. 2001;  95 111-115
• 8 Longatti P, Fiorindi A, Martinuzzi A. Neuroendoscopic aspiration of hematocephalus totalis: technical note.  Neurosurgery. 2005;  57 E409 , discussion E409
• 9 Graeb DA, Robertson WD, Lapointe JS. et al . Computed tomographic diagnosis of intraventricular hemorrhage. Etiology and prognosis.  Radiology. 1982;  143 91-96
• 10 Nishihara T, Nagata K, Tanaka S. et al . Newly developed endoscopic instruments for the removal of intracerebral hematoma.  Neurocrit Care. 2005;  2 67-74
• 11 Longatti P, Fiorindi A, Paola F Di. et al . Coiling and neuroendoscopy: a new perspective in the treatment of intraventricular haemorrhages due to bleeding aneurysms.  J Neurol Neurosurg Psychiatry. 2006;  77 1354-1358
• 12 Horvath Z, Veto F, Balas I. et al . Biportal endoscopic removal of a primary intraventricular hematoma: case report.  Minim Invasi Neurosurg. 2000;  43 4-8
• 13 Anzai K, Kamiyama K, Sasaki T. et al . Endoscopic evacuation of intraventricular hematoma and third ventriculostomy.  No Shinkei Geka. 2000;  28 599-605
• 14 Yadav YR, Mukerji G, Shenoy R. et al . Endoscopic management of hypertensive intraventricular haemorrhage with obstructive hydrocephalus.  BMC Neurol. 2007;  7 1
• 15 Komotar RJ, Hahn DK, Kim GH. et al . The impact of microsurgical fenestration of the lamina terminalis on shunt-dependent hydrocephalus and vasospasm after aneurysmal subarachnoid hemorrhage.  Neurosurgery. 2008;  62 123-132 , ; discussion 132–124
• 16 Mura J, Rojas-Zalazar D, Ruiz A. et al . Improved outcome in high-grade aneurysmal subarachnoid hemorrhage by enhancement of endogenous clearance of cisternal blood clots: a prospective study that demonstrates the role of lamina terminalis fenestration combined with modern microsurgical cisternal blood evacuation.  Minim Invas Neurosurg. 2007;  50 355-362
• 17 Dehdashti AR, Rilliet B, Rufenacht DA. et al . Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality.  J Neurosurg. 2004;  101 402-407
• 18 Oliveira JG de, Beck J, Setzer M. et al . Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis.  Neurosurgery. 2007;  61 924-933 , ; discussion 933–924

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